T Nation

On TRT, Here is My Bloodwork. Will Post Protocol Next


#1

LabCorp Patient

REPORT DATE
MAR102017
Vitamin B12
Hemoglobin A1c
5.3NORMAL
Reference Range: 4.8-5.6 %

Vitamin B12
Vitamin B12
496NORMAL
Reference Range: 211-946 pg/mL

DHEA-Sulfate
DHEA-Sulfate
288.0NORMAL
Reference Range: 102.6-416.3 ug/dL

Cortisol
Cortisol
7.8NORMAL
Cortisol AM 6.2 - 19.4 Cortisol PM 2.3 - 11.9

Luteinizing Hormone(LH), S
LH
5.5NORMAL
Reference Range: 1.7-8.6 mIU/mL

FSH, Serum
FSH
3.7NORMAL
Reference Range: 1.5-12.4 mIU/mL

Insulin
Insulin
8.3NORMAL
Reference Range: 2.6-24.9 uIU/mL

Estradiol
Estradiol
16.2NORMAL
Reference Range: 7.6-42.6 pg/mL

Roche ECLIA methodology
Ferritin, Serum
Ferritin, Serum
264NORMAL
Reference Range: 30-400 ng/mL

C-Reactive Protein, Quant
WBC
6.1NORMAL
Reference Range: 3.4-10.8 x10E3/uL

RBC
4.95NORMAL
Reference Range: 4.14-5.80 x10E6/uL

Hemoglobin
15.4NORMAL
Reference Range: 12.6-17.7 g/dL

Hematocrit
45.2NORMAL
Reference Range: 37.5-51.0 %

MCV
91NORMAL
Reference Range: 79-97 fL

MCH
31.1NORMAL
Reference Range: 26.6-33.0 pg

MCHC
34.1NORMAL
Reference Range: 31.5-35.7 g/dL
Neutrophils
71NORMAL

Immature Granulocytes
0NORMAL
Lymphs
20NORMAL

Monocytes
8NORMAL

Eos
1NORMAL

baso
0NORMAL

Platelets
309NORMAL
Reference Range: 150-379 x10E3/uL

Neutrophils (Absolute)
4.3NORMAL
Reference Range: 1.4-7.0 x10E3/uL

Immature Grans (Abs)
0.0NORMAL
Reference Range: 0.0-0.1 x10E3/uL

Lymphs (Absolute)
1.2NORMAL
Reference Range: 0.7-3.1 x10E3/uL

Monocytes(Absolute)
0.5NORMAL
Reference Range: 0.1-0.9 x10E3/uL

Eos (Absolute)
0.1NORMAL
Reference Range: 0.0-0.4 x10E3/uL

Baso (Absolute)
0.0NORMAL
Reference Range: 0.0-0.2 x10E3/uL

RDW
13.2NORMAL
Reference Range: 12.3-15.4 %

C-Reactive Protein, Quant
C-Reactive Protein, Quant
0.4NORMAL
Reference Range: 0.0-4.9 mg/L

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum
0.5NORMAL
Reference Range: 0.0-4.0 ng/mL

Roche ECLIA methodology. . According to the American Urological Association, Serum PSA should decrease and remain at undetectable levels after radical prostatectomy. The AUA defines biochemical recurrence as an initial PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory PSA value 0.2 ng/mL or greater. Values obtained with different assay methods or kits cannot be used interchangeably. Results cannot be interpreted as absolute evidence of the presence or absence of malignant disease.
IGF-1
Insulin-Like Growth Factor I
188NORMAL
Reference Range: 75-216 ng/mL

Triiodothyronine,Free,Serum
Triiodothyronine,Free,Serum
3.1NORMAL
Reference Range: 2.0-4.4 pg/mL

Vitamin D, 25-Hydroxy
Vitamin D, 25-Hydroxy
32.8NORMAL
Reference Range: 30.0-100.0 ng/mL
Vitamin D deficiency has been defined by the Institute of Medicine and an Endocrine Society practice guideline as a level of serum 25-OH vitamin D less than 20 ng/mL (1,2). The Endocrine Society went on to further define vitamin D insufficiency as a level between 21 and 29 ng/mL (2). 1. IOM (Institute of Medicine). 2010. Dietary reference intakes for calcium and D. Washington DC: The National Academies Press. 2. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. JCEM. 2011 Jul; 96(7):1911-30.

Sex Horm Binding Glob, Serum
Sex Horm Binding Glob, Serum
30.4NORMAL
Reference Range: 16.5-55.9 nmol/L

Lipid Panel With LDL/HDL Ratio
Comment:
up to 40 years old.
Adult male reference interval is based on a population of lean males
Testosterone, Serum
248LOW
Reference Range: 348-1197 ng/dL

Free Testosterone(Direct)
9.3NORMAL
Reference Range: 6.8-21.5 pg/mL

TSH reflex to T4F
Cholesterol, Total
284HIGH
Reference Range: 100-199 mg/dL

Triglycerides
179HIGH
Reference Range: 0-149 mg/dL

HDL Cholesterol
48NORMAL
Reference Range: >39 mg/dL
Comment:
fasting LDL cholesterol is above 189 mg/dL or non-HDL cholesterol is above 219 mg/dL. A family history of high cholesterol and heart disease in 1st degree relatives should be collected. J Clin Lipidol 2011;5:133-140
Possible Familial Hypercholesterolemia. FH should be suspected when
LDL/HDL Ratio
4.2HIGH
Reference Range: 0.0-3.6 ratio units

VLDL Cholesterol Cal
36NORMAL
Reference Range: 5-40 mg/dL

LDL Cholesterol Calc
200HIGH
Reference Range: 0-99 mg/dL

TSH reflex to T4F
TSH
1.800NORMAL
Reference Range: 0.450-4.500 uIU/mL

Homocyst(e)ine, Plasma
Calcium, Serum
9.6NORMAL
Reference Range: 8.7-10.2 mg/dL

Glucose, Serum
99NORMAL
Reference Range: 65-99 mg/dL

BUN
14NORMAL
Reference Range: 6-24 mg/dL

Protein, Total, Serum
6.9NORMAL
Reference Range: 6.0-8.5 g/dL

Albumin, Serum
5.0NORMAL
Reference Range: 3.5-5.5 g/dL

Bilirubin, Total
0.4NORMAL
Reference Range: 0.0-1.2 mg/dL

Alkaline Phosphatase, S
90NORMAL
Reference Range: 39-117 IU/L

AST (SGOT)
25NORMAL
Reference Range: 0-40 IU/L

Potassium, Serum
4.3NORMAL
Reference Range: 3.5-5.2 mmol/L

Sodium, Serum
139NORMAL
Reference Range: 134-144 mmol/L

Chloride, Serum
96NORMAL
Reference Range: 96-106 mmol/L

Creatinine, Serum
1.05NORMAL
Reference Range: 0.76-1.27 mg/dL

ALT (SGPT)
27NORMAL
Reference Range: 0-44 IU/L

Carbon Dioxide, Total
25NORMAL
Reference Range: 18-29 mmol/L

BUN/Creatinine Ratio
13NORMAL
Reference Range: 9-20

Globulin, Total
1.9NORMAL
Reference Range: 1.5-4.5 g/dL

A/G Ratio
2.6HIGH
Reference Range: 1.1-2.5
Effective March 13, 2017 the reference interval for A/G Ratio will be changing to: Age Male Female 0 - 7 days 1.1 - 2.3 1.1 - 2.3 8 - 30 days 1.2 - 2.8 1.2 - 2.8 1 - 6 months 1.3 - 3.6 1.3 - 3.6 7 months - 5 years 1.5 - 2.6 1.5 - 2.6 > 5 years 1.2 - 2.2 1.2 - 2.2
eGFR If NonAfricn Am
88NORMAL
Reference Range: >59 mL/min/1.73

eGFR If Africn Am
101NORMAL
Reference Range: >59 mL/min/1.73

Homocyst(e)ine, Plasma
Homocyst(e)ine, Plasma
5.7NORMAL
Reference Range: 0.0-15.0 umol/L

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#2

Please keep everything about your ‘case’ in this one topic/thread.

Cortisol: Need time of day for the lab work and how many hours awake.

TSH should be closer to 1.0
Thyroid lab ranges are quite bogus.
fT3 is quite good ~mid-range. If body temperatures are low as requested last paragraph, with your TSH, we suspect that elevate rT3 is interfering with the active hormone fT3. Then the conversation goes to stress and major stress events as discussed in the thyroid basics sticky.

If thyroid function is low, you probably will not be able to absorb T gels or creams and self-injected T is your best option.

TT was low. FT was still in range, but FT is released in pulses with short half-life. So and one FT lab result does not determine your status at all. TT is the best indicator in your situation.

Have you always used iodized salt?

Thyroid function is your metabolic rate and has effects on fat gain/loss and cholesterol. T status also affects fat gain/loss,

You appear to have secondary hypogonadism, low-T with decent LH/FSH.

You could use more Vit-D3, 5000iu/day suggested, find tiny oil based gel caps

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • Thyroid Basics
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.


#3

It was first thing in the morning, and I was awake about 2 hrs.


#4

Protocol

HCG- taken in the am with a diabetic syringe on Monday and Tuesday. Add 10ml water to vial refrigerate after reconstituting. ( Inject 50on the syringe)

B-12- taken on Monday in the am with a diabetic syringe (.8 ml- 80 on syringe )Refrigerate

Testosterone cyp 1cc every week (Wednesday) taken in the am. It is an intramuscular injection taken with the .23 gauge needle. (1 on syringe) DO NOT REFRIGERATE (I also changed this to .5 Wed and .5 Sunday)

Anastrozole .5mg (estrogen blocker)- take 1 capsule in the am on Thursday and Saturday taken orally. Due to sore nipples Switched to 3 days a week Tuesday, Friday, Sunday.
My nipples are still sore so doing 10mg of Novadex daily for 7 days. Stopping all but the testerone then starting back up.
I am
42
5’6
150lbs
Any suggestions on brand of hgh to start?
Also any other suggestions,


#5

Sorry I think test is 100 mg per week


#6

K my nipples are sore again. The doc pulled me off of all meds except testerone. He prescribed 5mg of novadex to run for one week. Then back on the hcg, test cyp, and adex. I was on 1.5 per week and my nipples were still sore. I am 150 lbs prob 18% bf and work out 5 days a week.